Topics Related to Division of Health Benefits

Includes an overview of the newest Center for Medicare and Medicaid Innovation payment model for Medicare, NC Medicaid’s involvement and timelines.
Allows Home and Community Based Services for individuals with behavioral health, intellectual/developmental disabilities and traumatic brain injury.
New Temporary/Interim Estimated Budget Increases Added July 1, 2023.
Effective with date of service April 5, 2023, NC Medicaid covers retifanlimab-dlwr injection, for intravenous use (Zynyz)
Effective with date of service April 4, 2023, NC Medicaid covers velmanase alfa-tycv for injection, for intravenous use (Lamzede)
Where to find the latest bulletins, webinars, fact sheets and other information.
All Home Health Care providers are expected to be fully compliant with requirements on Aug. 1
Includes provider recredentialing/reverification, billing requirement modifications, Tailored Plan implementation, upcoming key milestones, playbook updates and more.
Avoid Suspension and Termination by completing reverification upon notification.